Enteral Formula, Nutritionally Complete, Intact Nutrients

B4150 is the Healthcare Common Procedure Code System (HCPCS) code used to bill for this item.

Note: The estimates below are based on Medica Choice network contract rates. How were these costs calculated?

Cost Key:
Lower Cost Medium Cost Higher Cost
Facility     City/State Average Cost Range                         
  Sanford Home Medical Equipment-Brookings - University Mall Brookings, SD $0.66 - $0.72  
  Pediatric Home Services Roseville, MN $1.21 - $1.65  
  Midwest Medical Equip and Supply Duluth, MN $0.66 - $0.72  
Expand group Allina Home Oxygen & Medical Equipment (2) $1.21 - $1.65

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